*** NOTE: If an echocardiogram is necessary, Dr. MacGregor will do the exam immediately afterwards. An additional fee of $160.00 will be charged for the use of the ultrasound equipment. Please bring cash or check to be prepared for this contingency. IF you know your dog needs an echo, you can save $60 by scheduling ahead of exam time for a total of $160 instead of $220. For our friends from Canada, due to a problem cashing checks drawn from Canadian banks, please bring US dollars to cover the cost of any follow-up exams. Thank you.